Independent inquiries have identified that appropriate staffing in maternity units is key to enabling quality care and minimising harm, but optimal levels can be difficult achieve when there a shortage of midwives. The services provided how they are staffed (total staffing, skill-mix deployment) been changing, the effects workforce changes on outcomes not assessed. This study aims explore association between daily midwifery rate reported harmful incidents affecting mothers babies.

Background Adolescent pregnancy constitutes a critical public health issue worldwide. Young mothers face substantial physical and psychological changes as they transition to motherhood, while limited knowledge, experience, maturity may impair parenting increase stress. The aim of the study was evaluate effects parental enhancing program with mobile application on stress competence among adolescent postpartum women. Methods A quasi-experimental conducted sixty women, aged 15-19. They were...

To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM).A qualitative study, nested within randomised controlled feasibility study coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using thematic network approach.Participants recruited from Recurrent Miscarriage Clinic Early Pregnancy Unit in two tertiary referral hospitals UK.14 with RMs who...

Women have consistently reported lower satisfaction with postnatal care compared antenatal and labour care. The aim of this research was to examine whether women's experience inpatient in England is associated variation midwifery staffing levels. Analysis data from the National Maternity Survey 2018 including 17,611 women 129 organisations. This linked hospital numbers Health Service (NHS) Workforce Statistics number births Hospital Episode Statistics. A two-level logistic regression model...

Education programmes are tasked to prepare midwives for an ever-changing role and workload related practice, skills professional requirements at the point of registration beyond. This article outlines ‘transition project's’ 10-year journey to-date considers implementation a ‘passport’ that aims enhance final year student midwife's transition newly qualified status by working towards post-registration competencies as they progress through their first post induction preceptorship year. Funding...

Background/Aims Autism is a neurodevelopmental disability affecting interpersonal communication and interaction, has prevalence of more than 1% the population. This review aimed to identify what midwives in England can learn from studies exploring experiences autistic women antenatal, intrapartum early postnatal periods. Methods A systematic literature search was conducted using seven electronic databases. Thematic analysis performed, based on Braun Clarke. Results Three themes were found:...

Background A healthy urinary system is vital to every woman's life, and the relationship between childbirth bladder dysfunction has been well documented in medical literature. Aims To explore women's care experiences during antepartum, intrapartum, postpartum periods. Methods An exploratory, descriptive research study with nine in-depth semi-structured interviews. Findings Thematic analysis showed three themes: ‘muddling through earn “a badge of honour”’, ‘caring for a baby, but who cares...

Following the Autism Act 2009 and subsequent publications, University of Southampton's Faculty Health Sciences introduced an interactive e-learning package through enhancing harmonising its learning resources, to enable students effectively work with individuals living autism spectrum disorder (ASD). The resource encompasses reading material, quizzes checking self-knowledge, links external video hearing those autism, can be accessed by at a time convenient their needs placement activities....

The innovative use of virtual learning tools to support first year student midwives is key in current education. Blended considers both face teacher contact as well accessing e-learning activities enhance learning. process EBL encourages students gain a deeper understanding the theory linked clinical experiences along with resources within academic and environments. By doing so it aims embed knowledge. This article outlines processes two such innovations: ‘WIKI’ an interactive filmed...

Decision making is one of the most important skills that midwifery students should acquire through their education. Various methods teaching theoretical perspective can be easily adopted in classroom. However, speed decisions sometimes have to made clinical situation may not always allow time for student practise these real or give opportunity realize consequence them. This article identifies how a filmed scenario-based activity provide ‘real time’ rehearsal third year midwives within...

Developing autonomous practice for third-year student midwives provides educators and supervisors of with the opportunity to devise innovative learning teaching strategies. A Decision Making Week activity was devised concerning decision-making tools, theory their application clinical experiences, risk management governance. Students undertook record-keeping audits critique decision making. This linked an existing drop-in supervisor (SOM) surgery. It is anticipated that students will present...

Background/Aims In addition to the high rate of attrition among registered midwives, student midwives are increasingly likely choose leave their programme, decreasing projected number who would join NHS. The aim this study was understand how students experience clinical practice and if these experiences affect decision enter professional register. Methods Seven had experienced placement as part pre-registration training were invited attend semi-structured interviews. Data analysed following...

The first article in this series, published the British Journal of Midwifery, volume 27, number 10, identified that newly qualified midwives continue to experience reality shock on initiation post, despite preceptorship programmes aim ease transition from student practitioner. Mentors are important facilitating decision-making, criticality and reflective practice, share such roles as teaching, support role modelling with preceptors. Although begins at inception midwifery training, there is a...

Background Preventing readmission to hospital after giving birth is a key priority, as rates have been rising along with associated costs. There are many contributing factors readmission, and some thought be preventable. Nurse midwife understaffing has linked deficits in care quality. This study explores the relationship between staffing levels maternity settings. Methods We conducted retrospective longitudinal using routinely collected individual patient data three services England from...

Newly qualified midwives (NQM) experience a reality shock upon initiation of first post. Despite efforts to smooth the transition NQM status, there remains an incongruence between expectations (‘fairy tale’) and realities practice. Transition preceptorship programmes aim increase competence confidence, improve lived experiences NQMs. Preceptorship, however, is unstandardised supernumerary shifts rotations clinical areas may be affected by service demands. Sources support in practice include...

Nursing students lack clinical experience in assessing intrapartum uterine activity, rating their ability and level of understanding as low or fair despite receiving theoretical instruction prior to attending placements. Teaching model/aids may facilitate learning, however, purchasing additional models could prove expensive within many organisations. Limited exposure skills rehearsal school contribute student anxiety, stress, perceived self-efficacy when practice.To develop assess the...